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United States Patent |
5,782,785
|
Herzberg
|
July 21, 1998
|
Knee brace
Abstract
The knee brace (100) with a casing to be applied to the leg and held
together on the front side of the leg with the aid of fastening straps of
a padded frame is comprised of a frame (10), of a half shell-shaped frame
portion (11) which can be applied dorsally to the thigh and a half
shell-shaped frame portion (111) which can be dorsally applied to the
lower leg, wherein both frame portions (11;111) are rigidly or
articulatedly interconnected and each frame portion (11; 111) is formed by
a U-shaped bar section (12;112) with an approximately semicircularly
proceeding web (13;113) for application to the rear of the thigh or of the
lower leg, to which a plurality of one-armed fixation rods (16, 16a, 16b,
16', 16a', 16b'; 116, 116a, 116b; 116', 116a', 116b') which are attached
with one end, which proceed in the longitudinal direction of the knee
brace (100), which are deformable, springable and which possess a high
degree of inherent rigidity and which are adapted to the anatomic
configuration of the leg, are secured, while two frame portions (11;111)
are interconnected in such a way that their two U-shaped bar sections
(12:112) face each other, the knee brace (100), within the region of its
two terminal areas, is provided with one fastening strap (20;120) each
and, above and below the knee, is provided with one further fastening
strap (30;130) each (FIG. 1).
Inventors:
|
Herzberg; Thorsten (Hamburg, DE)
|
Assignee:
|
Beiersdorf Aktiengesellschaft (Hamburg, DE)
|
Appl. No.:
|
728402 |
Filed:
|
October 9, 1996 |
Foreign Application Priority Data
| Apr 01, 1994[DE] | 44 11 469.9 |
Current U.S. Class: |
602/26; 602/16 |
Intern'l Class: |
A61F 005/00 |
Field of Search: |
602/516,16,20,21,23,26
128/845,846,869,878,882
|
References Cited
U.S. Patent Documents
3831467 | Aug., 1974 | Moore.
| |
4624246 | Nov., 1986 | Ajemian | 602/26.
|
5119805 | Jun., 1992 | Cadoret | 602/26.
|
5121742 | Jun., 1992 | Engen | 602/26.
|
5277698 | Jan., 1994 | Taylor | 602/26.
|
Foreign Patent Documents |
3123148 | Dec., 1989 | DE.
| |
4229044 | Mar., 1993 | DE.
| |
Primary Examiner: Dvorak; Linda C.
Attorney, Agent or Firm: Kueffner; Friedrich
Parent Case Text
This is a continuation, of application Ser. No. 08/413,707 filed Mar. 28,
1995, now abandoned.
The present invention relates to a knee brace with a casing to be applied
to the leg held together on the front side of the leg with the aid of
fastener straps of a padded frame portion.
Claims
What is claimed is:
1. An orthopedic knee brace for use with a leg having an upper thigh
portion, a lower calf portion and an intermediate knee region, said brace
comprising:
an upper half shell frame portion applied dorsally to the upper thigh and
formed by an U-shaped bar section, said U-shaped bar section having a
semi-circular web and two ends;
a lower half shell frame portion applied dorsally to the calf portion of
said leg and formed by an U-shaped bar section, said U-shaped bar section
having a semi-circular web and two ends;
means for interconnecting said ends of said upper half shell frame portion
with said ends of said lower half shell frame portion;
a first plurality of rigid one-armed fixation rods, having first and second
ends, said first ends attached to said semi-circular web of said upper
half shell frame portion and extending proximately to said upper half
shell frame portion, said fixation rods having sufficient flexibility so
as to adapt to the anatomic configuration of the user's thigh;
a second plurality of rigid one-armed fixation rods, having first and
second ends, said first ends attached to said semi-circular web of said
lower half shell frame portion and extending distally to said lower half
shell frame portion, said fixation rods having sufficient flexibility so
as to adapt to the anatomic configuration of the user's calf;
first fastening brace provided proximate said second ends of said first
plurality of fixation rods for securing said fixation rods to said upper
thigh;
second fastening brace provided proximate said second ends of said second
plurality of fixation rods for securing said fixation rods to said calf
portion;
third fastening brace provided proximate to said end of said upper half
shell frame portion for securing said knee; and
fourth fastening brace provided proximate to said end of said lower half
shell frame portion for securing said knee.
2. The brace as set forth in claim 1, wherein said interconnecting means is
provided with an adjustable hinge for adjusting the upper and lower frame
portions at a predetermined angular position wherein said upper and lower
half shell portion are articularly interconnected.
3. The brace as set forth in claim 1, wherein said semi-circular web of
each of said upper and lower frame portions further comprise two
longitudinally variable rod sections for adjusting the length of each of
said semi-circular webs.
4. The brace as set forth in claim 1, wherein said interconnecting means is
provided with first and second hinges rotating about an axis of rotation,
said first and second hinges interconnecting said upper and lower frame
portion.
5. The brace as set forth in claim 1, wherein said U-shaped upper and lower
frame portions are provided with a flat band section and wherein said free
ends are substantially perpendicular to said flat band section.
6. The brace as set forth in claim 1, wherein said first plurality of
fixation rods is provided with two groups of at least three rods, each of
said group attached to each of said ends of said upper frame member so
that said groups are parallel to one anther, and wherein said second
plurality of fixation rods is provided with two groups of at least three
rods, each of said group attached to each of said ends of said lower frame
member so that said groups are parallel to one another.
7. The brace as set forth in claim 6, wherein said fixation rods are of
solid construction.
8. The brace as set forth in claim 1, wherein said second plurality of
fixation rods are arcuately bent so as to follow the contour of the calf
portion of said leg.
9. The brace as set forth in claim 1, wherein said plurality of fixation
rods are tubular and have a circular cross-section.
10. The brace as set forth in claim 1, wherein said fixation rods are
fabricated out of a material selected from the group consisting of
aluminum, glass fiber reinforced plastic or carbon fiber.
11. The brace as set forth in claim 1, further comprising first and second
padding blanks slidable onto the fixation rods of the upper half shell
frame portion.
12. The brace as set forth in claim 11, wherein said padding blanks are
releasably secured to said upper half shell frame portion.
13. The brace as set forth in claim 11, further comprising first and second
padding blanks slidable onto the fixation rods of the lower half shell
frame portion.
14. The brace as set forth in claim 13, wherein said padding blanks are
releasably secured to said lower half shell frame portion.
15. The brace as set forth in claim 11, wherein each of said fastening
straps have first and second ends and wherein said fastening straps are
provided with hook and loop fasteners at each of said first and second
ends for securing said first end to said second end.
16. The brace as set forth in claim 1, further comprising a knee brace pad
secured to said upper and lower frame members for providing support to the
patella of the knee.
Description
BACKGROUND OF THE INVENTION
Sugical interventions on the knee call for a postoperative immobilization
which, classically, is established by means of a functional plaster cast.
Typically, plastic plasters or splints are bent with the aid of elastic
bands. Where mobile patients are involved, these bands are frequently
replaced by VELCRO type hook and loop strip fasteners which are fitted
direct to shell-shaped splints. In order to enhance the wear comfort,
these shells are often padded.
From DE-A-31 23 148, a knee brace possessing a flexible shell or casing is
known, whose lateral rims, after the application of the shell to the leg,
are held together on the front side of the leg and which possess one
recess each for the kneecap, along the lateral rims, adjustable fastening
elements are provided in which the shell, within those regions which,
subsequent to the application of the shell to the leg, come to lie on the
lateral areas and on the back of the leg. Reinforcement rods are also
provided. The shell of this knee brace is composed of several anatomically
true blanks, in which case the blanks and the reinforcement rods possess a
configuration and curvature that is intended to fixate the knee joint in a
flexed position of approximately 20.degree..
Also the knee brace according to the DE-A-42 29 044 is comprised of a
flexible shell or casing which is provided with fastening elements on its
lateral rims which, following the application to the leg, hold the shell
together in the form of a closed tube. The longitudinal axis of the
portion enclosing the lower leg assumes an angular position to the
longitudinal axis of the thigh. In this knee brace, the blank forming the
shell is of one-piece construction and can be unrolled in one plane. In
the unrolled state, a recess is provided extending substantially parallel
to the longitudinal axis of the leg which, along the direction of the leg,
possesses larger dimensions than transversally thereto. On at least one of
its ends, the recess does not reach the edge of the blank. When the knee
brace is completed, the two longitudinally directed lateral edges of the
recess are interconnected.
In the two first-mentioned cases, the knee braces are comprised of a
flexible shell or casing. If this shell is composed of several blanks,
then a high degree of accuracy is always required when the sewing work is
done. An inaccurate side-by-side disposition and joining together of the
individual blanks may lead to an incorrect shape and, with this, to a poor
fit of the brace. Both the known knee braces are constructed in such a way
that they fixate the knee joint in a predetermined flexed position of
approximately 20.degree.. In such a case a loosening or slackening of the
knee brace which may occur in the course of the treatment is correctable.
In order to retain this predetermined position, the shells of the knee
braces are composed of several anatomically true blanks. The in which case
the blanks and the stiffening rods possess a configuration and curvature
intended for the fixation of the knee joint in a flexed position of
approximately 20.degree.. Due to the predetermined shells forming the knee
braces, problems related to a good fit and proper fitting often do arise.
Finally, these known knee braces have to be made to measure. Moreover,
even with an immobilized knee, the patient is unable to perform any
stretching exercises with the known knee braces. Since, in the applied
state, the shells of these known knee braces ensheath the leg on all
sides, a heat build-up cannot be avoided.
From the U.S. Pat. No. 3,831,467, an orthopedic appliance for the knee is
known which is comprised of an elastic fabric that is applied in a
casing-like fashion within the region of the knee on thigh and lower leg
and held in position on the leg by a great number of fastening bands. In
the applied state, the leg is completely enclosed with only an aperture
for the patella left open. In order to produce a stiffening of the
appliance by means of which a flexing of the knee is meant to be
prevented, stiffening rods are provided on the fabric. Three central
stiffening rods opposite the patella, are provided. The stiffening rods
disposed directly behind the hollow of the knee, are the most important
ones. In addition, one stiffening rod each may be provided laterally on
top of that. On account of the natural hollow space of the back of the
knee, the stiffening rods there do not rest on the leg, which may give
rise to a sliding to and fro of the orthosis on the leg, even when the
fastening bands are tightened. For this reason, a soft padding is affixed
to the internal surface area of the knee orthosis at this point. This
padding merely fill the hollow of the knee, but fails to keep the knee in
the flexed position of from 10.degree. to 20.degree.. This is necessary
for a successful treatment since the padding possesses a relatively flat
configuration and it is only intended to contribute to reduce a slipping
out of position of the applied orthosis.
It is the object of the present invention to provide a knee brace which is
employable postoperatively or, if injuries to the leg are involved, for
immobilizing the knee joint in an extended position, expediently in a
functional flexed position, while including a mobility of the leg within a
predetermined angular range. A further object is the possibility of being
able to vary the same in adaptation to the course of the convalescence,
which makes an adaptation to the anatomy of the leg and an accurate
positioning of the knee joint possible. Accordingly, the knee brace has to
possess a symmetric construction so as to make it possible for the same to
be used for both the left and the right leg.
SUMMARY OF THE INVENTION
Accordingly, the casing constituting the knee brace possesses a preferably
metallic frame of a short, half shell-like upper frame portion that can be
dorsally applied to the thigh and a lower, longer, half shell-shaped frame
portion which can likewise be dorsally applied to the lower leg. Each
frame portion is formed of a U-shaped bar section with an approximately
semicircularly proceeding web for resting on the thigh or lower leg.
Laterally and adjacent to the two bar section legs, a plurality of
one-armed, dorsal fixation rods are attached with one end and proceeding
upwardly and downwardly in the longitudinal direction of the knee brace,
the rods are springable and possess a high degree of inherent rigidity and
are approximately adapted to the anatomic configuration of the thigh and
lower leg so that a flexible, yet stable casing possessing subsequent
forming possiblities is obtained. This makes it possible to effortlessly
adapt the knee brace to the anatomy of the leg. Furthermore, the knee
brace is, within the area of its terminal regions, provided with one
fastening strap and one further fastening strap each which, when the knee
brace is applied, proceeds above and below the knee.
According to further features of the invention, the two frame portions of
the knee brace frame are articulatedly interconnected with the aid of
hinges. The hinges are constructed in such a way that the two frame
portions of the knee brace frame, when the knee brace is applied, can be
locked in a predetermined angular position or can be adjusted to an
angular range with an angular position for a flexion or an extension of
the leg. This permits a defined movement of the leg with the angular
and/or motional range of the leg being variable and adaptable to the
progress of the recovery. Consequently, depending on the continuing
recovery of the leg, the possibility for a corresponding movement and
flexion of the leg within the predetermined angular range does exist. The
angular range is adjusted and varied in adaptation to the respective state
of the leg so that a defined movement of the leg is achieved.
For the enhancement of the wearer's comfort, the frame portions of the knee
brace frame are padded.
Due to the fastening straps for mounting the knee brace on the leg being
positioned on the knee brace frame at specific points, viz. within the
area of the knee brace ends and closely above and below the knee, an
accurate positioning of the knee joint is possible. What is essential in
this case is that the hinge axes of the hinges interconnecting the two
frame portions are congruent, i.e. in full coincidence, with each other.
With the aid of this knee brace, the leg is firmly positioned and held
fast well within the region of the knee. Despite of the certain
flexibility possesses by the two half shells of the knee brace, a high
degree of stability does exist. The employment of dorsal fixation rods
makes an effortless adaptation of the knee brace to the anatomy of the leg
possible. The flexibility of these fixation rods also makes a later
reshaping and fitting of the knee brace possible, which is feasible owing
to the fixation rods being dorsally attached above and below the knee on
the knee brace frame.
To this is added the fact that the knee brace manages with a small number
of fastening and retaining straps. By preference, the attachment of the
knee brace is effected at four points of the leg, in which case an
immovable fit of the applied knee brace is achieved in particular by the
knee brace being retained on the leg with the aid of two fastening straps
which proceed above and below the knee.
The padding of the knee brace frame is provided with the aid of two padding
blanks which can be slid onto the frame portions. The rear is provided
with a plurality of pockets with insertion apertures corresponding to the
number of fixation rods of the frame portions, into which the fixation
rods of the two frame portions of the knee brace frame are inserted. The
top padding blank is slid onto the fixation rods of the upper frame
portion and the bottom padding blank is slid from below onto the fixation
rods of the lower frame portion. The attachment and the mounting of the
padding blanks is effected with the aid of suitable connecting means, such
as e.g. press studs, VELCRO type hook and hook strip fastener connections.
It is possible, however, for differently constructed fastening means to be
employed.
Added to this is the circumstance that the immovable mounting of the knee
brace applied to the leg is achieved in particular by the disposition of
the four fastening straps, of which in each case the upper and the lower
fastening strap is provided on the paddings. The fastening straps
proceeding within the knee region, i.e. above and below the knee, are
attached to the two frame portions of the knee brace frame. In this manner
the knee brace frame is retained on the leg direct and not exclusively by
means of the padding blanks.
For relieving the patella of pressure, a cushion or pressure-reducing pad
is disposed on the fastening strap proceeding above the knee which, by
virtue of its configuration, makes an adaptation to the patella possible.
The patella is relieved in this fashion when the knee brace is applied. It
is also possible for a cushion or pressure-reducing pad to be provided on
the fastening strap which proceeds below the knee.
The knee brace is thus comprised of a basic frame structure with two half
shell-like and stable, padded frame portions bearing fastening straps
within their terminal regions.
By means of this construction, a flexible, yet stable, half shell is
obtained, into which a leg can be placed. After the attachment of the
fastening means, a casing enclosing the leg is provided. In order to keep
the knee in the flexed position or in order to provide a defined motional
range for the leg, the two frame portions of the knee brace frame with
their paddings are brought into a predetermined angular position or are
set to a predetermined angular range. Thereafter, the hinges which
interconnect the two frame portions are set to the desired motional range
of the leg.
Still further advantages are achieved with the knee brace constructed
according to the invention as detailed below.
A very open construction without any heat build-up.
A good stabilization of the knee.
Simple handling due to preferably only four fastening means.
Good fit, low weight and adaptability to the anatomy of the respective leg
to which the knee brace is to be applied.
The knee brace can be opened without problem on the reclining patient; the
angular position or the motional play of the two frame portions of the
knee brace frame can be effortlessly varied at any time in order to be
able to adapt the flexing range of the leg to the respective state of
recovery so that a joint guidance and leg movement in flexion and
extension is possible.
Due to the preferably tubular fixation rods on both frame portions of the
knee brace frame the knee brace adapts better to the leg.
The fixation rods serve to stabilize the leg and can simply be bent aside
so as to accurately fit the knee brace, if this were to be necessary.
The surgical wounds are not covered by a bandage.
The knee brace offers a high degree of therapeutic safety. The knee is
immobilizable and can be stabilized in a defined manner. A continuous,
constant stabilization effect is achieved. The knee is immobilized in a
defined, slightly flexed position, which relaxes the anterior cruciate
ligament. The knee brace fits well to the leg and is retained in a stable
fashion. A good soft tissue support is obtained both on the thigh as well
as on the lower leg. The knee brace can be adapted to different thigh and
lower leg widths.
Moreover, with the knee brace, a high degree of wearer comfort is obtained
because the knee brace does not chafe, does not constrict, wears only
slightly, is very light by virtue of its low weight; it is kind to the
skin, impervious to air and vapor and possesses no unpleasant heat effect.
The knee brace is simple to apply. The healing process can be readily
checked. A postoperative wound care is possible. By the use of suitable
materials, the knee brace is resistant to soiling. By the employment of
separate padding blanks which are affixed to the frame portions of the
knee brace frame, the padding can be effortlessly removed, cleaned an
disinfected.
Further developments of the invention are the subject matter of the
subclaims.
BRIEF DESCRIPTION OF THE DRAWINGS
Embodiment examples of the invention are illustrated in the drawings. This
FIG. 1 shows in a diagrammatical view a knee brace applied to the thigh and
lower leg of two half shell-shaped, padded orthosis portions;
FIG. 2 shows in a diagrammatical view of the knee brace as per FIG. 1;
FIG. 3 shows the knee brace in a view from the top;
FIG. 4 shows in a side view of the knee brace with elongated frame
portions;
FIG. 5 shows a diagrammatical front view of the knee brace frame comprised
of two hingedly interconnected frame portions;
FIG. 6 shows a diagrammatical rear view of the knee brace frame;
FIG. 7 shows a view onto the padded front side of the padding blank for the
upper frame portion of the knee brace frame;
FIG. 8 shows in a rear view the upper frame portion of the knee brace frame
as per FIG. 7;
FIG. 9 shows a view of the padded front side of the padding blank for the
lower frame portion of the knee brace frame;
FIG. 10 shows in a rear view the lower frame portion of the knee brace
frame as per FIG. 9;
FIG. 11 shows in a diagrammatical front view a padding with formed recess
for the patella slid onto the lower fastening strap of the upper frame
portion of the knee brace frame, and
FIG. 12 shows in a rear view of the padding as per FIG. 11 displaceably
attached to the lower fastening strap of the upper frame portion of the
knee brace frame.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
According to FIGS. 1 through 4, the knee brace 100 is comprised of a casing
to be applied to the leg of a patient and held together on the front side
of the leg, which is formed of a padded frame 10 with fastening straps
20,120 and 30,130.
The knee brace 100 is comprised of a preferably metallic frame 10 of an
upper, shorter, half shell-like frame portion 11 that is dorsally
applicable to the thigh and a lower, longer, half shell-like frame portion
111 which is likewise dorsally applicable to the lower leg. Each frame
portion 11,111 is formed of a U-shaped bar section 12 or 112 with an
approximately semicircularly proceeding web 13 or 113 resting upon the
thigh or lower leg. To the web 13 or 113 of each frame portion 11,111 of
the knee brace frame 10, laterally and adjacent to the two bar section
legs 14,15 or 114,115, a plurality of deformable, springable one-armed
fixation are rods attached at one end. The rods proceed upwardly and
downwardly in the longitudinal direction of the knee brace and possess a
high degree of inherent rigidity and are adapted to the anatomic
configuration of thigh and lower leg. The frame 10 may also be comprised
of other materials, such as plastic or a carbon fiber material.
In the embodiment depicted in the FIGS. 5 and 6, a frame 10 for the knee
brace 100, is shown, the frame 10 having an upper frame portion 11, six
fixation rods 16, 16a, 16b and 16', 16a', 16b'. Likewise six fixation rods
116, 116a, 116b and 116', 116a', 116b' are secured to the lower frame
portion 111 likewise. In addition, three fixation rods 16, 16a, 16b and
16', 16a', 16b' and 116, 116a, 116b and 116', 116a', 116b' are combined in
each case, while the thusly combined fixation rods of each frame portion
11,111 are disposed within the dorsal area of the thigh and the lower leg
in such a way that half-shell-like configured frame portions 11,111 are
formed which, when the knee brace 100 is applied, engage sectionwise over
the thigh and lower leg.
The number the fixation rods of the upper frame portion 11 and of the lower
frame portion 111 can be arbitrarily selected. The number of the fixation
rods is not restricted to the number of fixation rods described and
depicted in the foregoing. What is essential, though, is that the
disposition of the fixation rods is such that half shelllike structures
are produced which accommodate the thigh and the lower leg when the knee
brace 100 is applied.
These frame portions 11,111 of the knee brace frame 10, together with the
fastening straps 20,120 and 30,130, of a casing in the form of a flexible,
yet stable half shell comprises two stable half shell portions and
possesses a high degree of inherent rigidity and are adaptable to the
contours of the leg.
The fixation rods on the frame portions 11,111 are of tubular construction
and, by way of example, are comprised of aluminum or some other suitable
material which, apart from a high degree of inherent rigidity, possesses a
certain flexibility so as to be able to adapt to the fixation rods to the
leg contours. These tubular fixation rods may also be comprised of a
lightweight metal other than aluminum or of a fiber glass-reinforced
plastic. A construction of the tubular fixation rods in the form of carbon
fiber rods is also possible. What is essential, though, is that these
tubular fixation rods do not possess a substantial weight.
It is also possible to employ tubular fixation rods of solid wall
construction. The cross-section of the employed fixation rods may be
circular, oval or may possess some other geometric cross-sectional
configuration. The fixation rods employed in the knee brace 100 are,
despite a high degree of inherent rigidity, deformable to a certain degree
so as to be able to adapt the knee brace to the contours of the leg.
The two frame portions 11,111 can be rigidly interconnected so that a
one-piece frame 10 for the knee brace is obtained. A thusly constructed
knee brace 100 can only be employed for an extended position of the leg.
However, in order to be able to retain the leg in a predetermined flexed
position or for a movement within a defined region of the knee brace 100,
according to a further embodiment of the invention, the same is
constructed in such a manner that the two frame portions 11,111 of the
knee brace frame 10 are articulatedly interconnected by means of the free
ends 14a,15a and 114a,115a of the legs 14,15 and 114,115 of the two
U-shaped bar sections 12 and 112. In this way the two frame portions
11,111 can be set in each case at requisite angles in relation to each
other. Both frame portions 11,111 are interconnected by means of hinges
18,118, which are operatively connected with locking means constructed in
a manner known per se so that the in each case set angular position can be
locked. It is consequently possible e.g. for locking means for the hinges
18,118 to be employed as described in the U.S. Pat. No. 4,982,732, in
which a knee brace is shown having a casing to be applied to the leg held
together on the front side of the leg. The casing is with the aid of
fastening bands of two frame portions which are flexibly interconnected by
means of hinges that are reciprocally lockable in the respective angular
positions. However, by virtue of their constructional design, the frame
not prevent a slipping out of position by the knee brace when worn.
The disposition of the hinges 18,118 interconnecting the two frame portions
11,111 is arranged in such a way relative to each other that their swivel
axes 18a,118a lie congruently, i.e. are in full coincidence with each
other and lie in one axial plane (FIGS. 5 and 6).
The fastening straps 20,30 and 120,130 are provided for mounting the knee
brace 100 to the leg of a patient. Of these fastening straps, which will
be dealt with in greater detail hereinafter, the fastening straps 20,120
are provided on the ends at both sides of the knee brace 100, while the
two other fastening straps 30,130 located within the knee region are
disposed in such a way that the fastening strap 30 is disposed a small
distance above the knee. The fastening strap is disposed a small distance
below the knee.
In order to be able to adapt two frame portions 11,111 of the knee brace
frame 10 to differing configurations and sizes of the leg, the widths of
the half shells formed by the frame portions 11,111 are variable. For
this, the semicircularly proceeding web 13 or 113 of the two U-shaped bar
sections 12 and 112 of each frame portion 11,111 is fabricated from two
longitudinally variable rod sections 13a,13b and 113a,113b. The two rod
sections of each bar section 12 or 112 are lockable with the aid of a
screwed connection, it being essential in this case that an automatic
slackening of the locking means cannot take place.
The U-shaped bar sections 12,112, which form part of the two frame portions
11,111, are preferably comprised of a flat or strip section. The
semicircularly constructed webs 13,113 and the bar section legs 14,15 and
114,114 are disposed so as to be vertical and offset by 90.degree.
relative to each other. In this way the webs 13,113 form a contact surface
for the thigh or lower leg, whereas the lateral legs 14,15 and 114,115 of
the two bar sections 12,112 proceed laterally of the leg (FIG. 6).
In order to achieve a good fit of the lower frame portion 111 of the knee
brace frame 10 on the lower leg, the fixation rods 116,116a,116b and
116',116a',116b' of the lower frame portion 111 are preferably constructed
so as to proceed straight with bends within the lower calf region.
The padding of the knee brace frame 10 is effected with the aid of two
padding blanks 40,140 slidable onto the frame portions 11,111, of which
each padding blank 40 or 140 is comprised of two strip-shaped side
portions 41,42 and 141,142. The side portions 41,42 of the padding blank
40 resting on the thigh, are connected, by means of a top web 43, with
laterally extended sections 43a,43b constructed in the form of fastening
portions of a fastening strap 20. The free ends of the lateral sections
43a,43b are constructed as portions of a VELCRO type hook and loop strip
fastener in order to produce the fastening effect when the knee brace is
applied. The web 43 interconnecting the two side portions 41,42 of the
padding blank 40 is preferably constructed in two parts, in which case
both portions, within their overlapping area, are provided with parts of a
VELCRO type hook and loop strip fastener so as to be able to detachably
connect both portions. By means of this detachable connection, a
longitudinal variability of the web 43 of the padding blank 40 is possible
so as to, in adaptation to the width of the upper frame portion 11, be
also able to adapt the padding blank 40 (FIGS. 7 and 8).
On the free ends of the two side portions 41,42 of the padding blank 40,
tabs 41a,42a are formed with fastening means 44 which, by way of example,
are constructed in the form of a press stud fastener.
The length of the side portions 41,42 of the padding blank 40 corresponds
approximately to the length of the fixation rods 16, 16a, 16b and 16',
16a', 16b' disposed on the upper frame portion 11, which will be discussed
in greater detail hereinafter.
The padding blank 140 slid onto the lower frame portion 111 of the knee
brace frame 10 is constructed so as to be approximately correspond to the
padding blank 40. Also in the padding blank 140, the two side portions
141,142 are on one side interconnected by means of a short web 143. In
extension of the short web 143, lateral sections 143a,143b are formed onto
the side portions 141,142 which, on their ends, are provided with the
portions of a VELCRO type hook and loop strip fastener and, in the applied
state of the knee brace 100, form the bottom fastening strap 120. The two
side portions 141,142 of the padded blank 140 bear tabs 141a, 142a, to
which fastening means 144, by way of example, press stud fasteners, are
fitted (FIGS. 9 and 10).
Also in the case of the padding blank 140, an adaptation to the lower frame
portion 111 of the knee brace frame 10 exists in so far as the two side
portions 141,142 of the padding blank 140 are extended in a slightly
V-shaped manner, which corresponds approximately to the anatomic course of
the calf of the lower leg.
The surface areas facing the leg of the two padding blanks 40,140 are
preferably comprised of a base fabric with an applied layer of a suitable
padding material, in which case padding material of natural and of
synthetic fibers can be used. It is also possible for springably resilient
shaped plastic elements to be incorporated into the material of the padded
blanks 40,140.
In order to be able to slide into the padding blanks 40, 140 the fixation
rods on the frame portions 11,111 of the knee brace frame 10, the padding
blanks are, on their back, provided with a plurality of pockets which
terminate at one end in insertion apertures. The number of pockets for
receiving the fixation rods 16, 16a, 16b and 16', 16a', 16b' or 116, 116a,
116b and 116', 116a', 116b' depends on the number of the fixation rods. In
the embodiment described in the foregoing and depicted in the drawing, on
the upper frame portion 11 and on the lower frame portion 111, six
fixation rods each are provided, of which in each case three fixation rods
are combined into a unit. According to this, the padding blanks 40,140
possess on their backs a number of pockets which corresponds to the number
of these fixation rods.
In the padding blank 40, for the fixation rods of the upper frame portion
11 of the knee brace frame 10, the pockets 45, 45a, 45b and 45', 45a',
45b' with the insertion apertures 47, 47a, 47b and 47', 47a', 47b' are
provided.
For receiving the fixation rods on the lower frame portion 111 of the knee
brace frame 10, the padding blank 140 possesses on its rear the pockets
145, 145a, 145b and 145', 145a',145b' with the insertion apertures 147,
147a, 147band 147', 147a', 147b' (FIGS. 8 and 10). The length of the
pockets on the backs of the padding blanks 40,140 corresponds to
approximately the length of the fixation rods to be accommodated on the
upper frame portion 11 and the lower frame portion 111 of the knee brace
frame 10. Adjacent to the tabs 41a,42a of the side portions 41,42 of the
padding blank 40 and the tabs 141a,141b on the side portions 146,146' are
provided on the rear of the padding blanks 40,140. These blanks are
provided with perforations 48, 148 so as to be able to introduce those
parts of the press stud fastener which are provided on the tabs 41a,42a
and 141a,142a of the padding blanks 40,140, into the corresponding
counterparts of the press stud fasteners. In this fashion the
last-mentioned press stud parts are attached to the outsides of the
semicircularly proceeding webs 13,113 of the U-shaped bar sections 12,112.
With regard, to the fastening means it is also possible for other
fastening means to be employed in lieu of press stud fasteners; what is
essential here, though, is that the padding blanks 40,140 are detachably
attached to the frame portions 11,111.
The formation of the pockets 45, 45a, 45b and 45', 45a', 47b' 145, 145a,
145b and 145', 145a', 145b' of the two padding blanks 40,140 is effected
by means of a double-walled construction of the basic fabric blank for the
padding blanks 40,140, in which case the formation of the pockets is
produced by means of stitched connections.
The attachment of the two padding blanks 40,140 to the two frame portions
11,111 of the knee brace frame 10 is effected in that the tabs 41a,42a and
141a,142a of the two padding blanks 40,140 are laid around the
semicircularly proceeding webs 13,113 and in that the two press stud
fastening portions are brought into operative connection after the two
padding blanks 40,140 have been slid over the fixation rods on the two
frame portions 11, 111.
The upper and the lower fastening strap 20,120, respectively, of the knee
brace 100 is secured to the padding blank 40 or to the padding blank 140.
The two further fastening straps 30,130, which come to be located above
and below the knee, are in comparison secured to the two frame portions
11,111 of the knee brace frame 10. In this case, too, it is possible for
the fastening straps to be formed by tabs which possess VELCRO type hook
and loop strip fastener-like connecting means. It is more advantageous,
however, when the fastening straps 30,130 are constructed in the form of
belt bands or webbing straps. For this, each fastening strap 30,130 is
comprised of a band-like section which is passed through an eyelet affixed
to the opposite side of the frame partions 11,111. The free end of each
fastening strap, after having been passed through this ring or eyelet, is
then attached to the adjacent fastening band section with the aid of a
VELCRO type hook and loop strip fastener.
The fastening strap 30 provided within the lower area of the upper frame
portion 11 of the knee brace frame 10 carries a pad or cushion 50 of a
springably resilient material, such as e.g. a silicon rubber or some other
suitable padding material, provided with a configuration adapted to the
patella, which is indicated at 51 in FIG. 11. The pad 50 is retained on
the fastening strap 30 in a rigid, detachable and/or displaceable manner.
For the latter form construction, the pad 50 is provided on its rear with
a fastening loop 52 (FIG. 12). Also on the fastening strap 130 proceeding
below the knee, a pad or cushion 50 can be provided for supporting the
knee.
The webs 13,113 of the frame portions 11,111 may be additionally provided
with pads.
Further paddings may be provided on the semicircularly proceeding webs
13,113 of the bar sections 12,112 of the frame 10, as indicated in FIG. 6
with 60,160.
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